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Infection and Immunity, July 2001, p. 4202-4209, Vol. 69, No. 7
Department of Microbiology and Molecular Biology, Tufts
University School of Medicine,1 and
Division of Gastroenterology, Department of Medicine, New
England Medical Center,2 Boston, Massachusetts
02111, and Department of Veterinary Biosciences, Ohio State
University, Columbus, Ohio 432103
Received 11 January 2001/Returned for modification 20 February
2001/Accepted 3 April 2001
Infection with Helicobacter pylori strains containing
the cag Pathogenicity Island (cag PAI) is
strongly correlated with the development of severe gastric
disease, including gastric and duodenal ulceration,
mucosa-associated lymphoid tissue lymphoma, and gastric carcinoma.
Although in vitro studies have demonstrated that the expression of
genes within the cag PAI leads to the activation of a
strong host inflammatory response, the functions of most cag gene products and how they work in concert to promote
an immunological response are unknown. We developed a transcriptional
reporter that utilizes urease activity and in which nine putative
regulatory sequences from the cag PAI were fused to the
H. pylori ureB gene. These fusions were introduced in
single copies onto the H. pylori chromosome without
disruption of the cag PAI. Our analysis indicated that
while each regulatory region confers a reproducible amount of promoter
activity under laboratory conditions, they differ widely in levels of
expression. Transcription initiating upstream of cag15 and
upstream of cag21 is induced when the respective fusion
strains are cocultured with an epithelial cell monolayer. Results of
mouse colonization experiments with an H. pylori strain carrying the cag15-ureB fusion suggested that this putative
regulatory region appears to be induced in vivo, demonstrating the
importance of the urease reporter as a significant development toward
identifying in vivo-induced gene expression in H. pylori.
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.7.4202-4209.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Differential Gene Expression from Two
Transcriptional Units in the cag Pathogenicity Island of
Helicobacter pylori

*
Corresponding author. Mailing address: Department of
Microbiology and Molecular Biology, Tufts University School of
Medicine, 136 Harrison Ave., Boston, MA 02111. Phone: (617) 636-6758. Fax: (617) 636-3307. E-mail: andrew.wright{at}tufts.edu.
Present address: Department of Microbiology and Immunology,
Stanford University School of Medicine, Stanford, CA 94305.
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